Individual
JENNIFER LORENA AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 W 5TH ST # 300, SANTA ANA, CA 92701-4599
(714) 834-2766
Mailing address
17710 WOODRUFF AVE APT 1, BELLFLOWER, CA 90706-7051
(562) 290-7620
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
236349
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236349
CA NURSE LICENSURE
CA
Enumeration date
03/21/2011
Last updated
03/21/2011
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